Women’s Health

Talk

Polycystic Ovarian Syndrome and Fertility: Helping Patients Conceive in Primary Care

Thursday, November 23
1:15 PM - 2:15 PM

With a prevalence of approximately 1 in 10, polycystic ovarian syndrome (PCOS) is a condition commonly experienced by women of reproductive age and one which is frequently encountered in primary care. The primary challenge with PCOS with respect to fertility is ovulatory dysfunction. For some women with PCOS, ovulation occurs but is very unpredictable. For others, ovulation occurs rarely or not at all. An appropriate work-up should be performed to rule out other conditions and one may consider anti-mullerian hormone (AMH) testing to determine PCOS severity and to guide care. Primary care providers can then help women with confirmed PCOS to conceive through lifestyle intervention and medical intervention when appropriate. For the overweight or obese woman with PCOS, as little as 5% weight loss may be sufficient for natural ovulation for resume. Even without significant weight loss, an increase in physical activity and decrease in intake of simple sugars can be of significant benefit. For women with PCOS who have a healthy body mass index (BMI), an elevated BMI who do not ovulate with lifestyle intervention or for those with a very high AMH, medications are often needed and can be safely used in primary care to induce ovulation. Appropriate use of medications including metformin, clomiphene citrate and letrozole will be explored in detail during this talk to assist primary care providers in using these medications in their practice settings to safely help women with PCOS conceive.

Learning Objectives:

Carrie A. Schram

Family Physician and Fertility Specialist
Women's College Hospital and Hannam Fertility Centre

Carrie Schram is a primary care provider with a special interest in women's health and fertility. At Women's College Hospital, she maintains an academic family medicine practice which includes low risk obstetrics. At Hannam Fertility Centre, she provides low intervention fertility care which includes a high volume of patients with polycystic ovarian syndrome (PCOS). Carrie also maintains an appointment with the University of Toronto as an Assistant Professor.

Presentation(s):

Send Email for Carrie Schram

Carrie A. Schram

Family Physician and Fertility Specialist
Women's College Hospital and Hannam Fertility Centre

Carrie Schram is a primary care provider with a special interest in women's health and fertility. At Women's College Hospital, she maintains an academic family medicine practice which includes low risk obstetrics. At Hannam Fertility Centre, she provides low intervention fertility care which includes a high volume of patients with polycystic ovarian syndrome (PCOS). Carrie also maintains an appointment with the University of Toronto as an Assistant Professor.

Presentation(s):

Send Email for Carrie Schram

Carrie A. Schram

Family Physician and Fertility Specialist
Women's College Hospital and Hannam Fertility Centre

Carrie Schram is a primary care provider with a special interest in women's health and fertility. At Women's College Hospital, she maintains an academic family medicine practice which includes low risk obstetrics. At Hannam Fertility Centre, she provides low intervention fertility care which includes a high volume of patients with polycystic ovarian syndrome (PCOS). Carrie also maintains an appointment with the University of Toronto as an Assistant Professor.

Presentation(s):

Send Email for Carrie Schram


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